Infection Control Principles for the Management of Construction ...
Infection Control Principles for the Management of Construction ...
Infection Control Principles for the Management of Construction ...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Appendix No 7: Access & Work Permit<br />
1. WORKER IDENTIFICATION & LOCATION<br />
Work location<br />
.............................................................................<br />
Work types this permit applies to<br />
.............................................................................<br />
.............................................................................<br />
.............................................................................<br />
Employees (recipients) signed onto this permit<br />
.............................................................................<br />
.............................................................................<br />
.............................................................................<br />
Contractors (recipients) signed onto this permit<br />
Company................................................................<br />
Supervisor...............................................................<br />
Employees...............................................................<br />
.............................................................................<br />
.............................................................................<br />
.............................................................................<br />
2. DESCRIPTION OF WORK TO BE UNDERTAKEN<br />
.............................................................................<br />
.............................................................................<br />
.............................................................................<br />
.............................................................................<br />
3. PERMITS ON ISSUE<br />
■ Hot work<br />
■ Fire protection isolation<br />
■ Confined spaces<br />
■ Environmental disturbance control<br />
■ Lock out / tag out<br />
■ Ro<strong>of</strong> access<br />
4. ISOLATIONS REQUIRED TO PERFORM WORKS<br />
■ Fire protection/alarms<br />
■ Pipelines<br />
■ water<br />
■ steam<br />
■ gas<br />
■ medical gases<br />
■ Mechanical / electrical drives<br />
■ Electrical services<br />
■ Radiation source<br />
■ Sludges/deposits/waste<br />
■ Harmful/hazardous materials<br />
Location <strong>of</strong> isolations ................................................<br />
.............................................................................<br />
.............................................................................<br />
.............................................................................<br />
.............................................................................<br />
Authorised person.....................................................<br />
Date.......................................................................<br />
5. HOT WORK PRECAUTIONS<br />
■ All combustible materials removed or made safe<br />
■ No flammable liquids, vapours, or gases present<br />
■ Extinguishers/hose reels provided on site<br />
■ Operator trained in fire appliance use<br />
■ Operator knows location <strong>of</strong> fire alarms/telephone<br />
■ Site inspected on completion <strong>of</strong> work<br />
■ Alarms isolated. Permit completed<br />
6. FIRE PROTECTION ISOLATION<br />
■ Alarms circuits identified and isolated<br />
■ Fire panel tagged and log filled in<br />
■ Security & plant supervisor notified<br />
■ Period <strong>of</strong> isolation __/__/__ to __/__/__<br />
■ AIU / ASE isolated<br />
7. ENVIRONMENTAL DISTURBANCE CONTROL<br />
■ Risk assessment completed<br />
■ <strong>Construction</strong> area sealed <strong>of</strong>f<br />
■ Predetermined traffic routes<br />
■ Site cleaning procedures in place<br />
■ Negative pressure air within construction area<br />
■ HEPA filtered vacuum cleaner to be used<br />
■ Area access control to be implemented<br />
■ Partitioning and/or temporary wall to be installed<br />
■ Environmental microbial sampling to occur<br />
8. LOCK OUT TAG OUT<br />
■ Plant safety tagged<br />
■ Plant locked out with appropriate device<br />
■ Plant supervisor notified<br />
■ Log completed<br />
9. ROOF ACCESS<br />
■ Harness checked and correctly setup<br />
■ Observer in place<br />
■ Code <strong>of</strong> practice requirements fulfilled<br />
10. WORK COMPLETED<br />
Recipients signed<br />
<strong>of</strong>f and Date............................................................<br />
.............................................................................<br />
.............................................................................<br />
.............................................................................<br />
11. PERMIT CANCELLED<br />
Workplace has been checked and cleared as safe. All<br />
permit conditions have been withdrawn.<br />
Authorised by...........................................................<br />
Date.......................................................................<br />
36
Change language